Columbia, MO 65201 · CMS Certification Number 260068. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $11,930 | $52,372 | 4.4× | $11,100 |
| Shoulder replacement | $16,090 | $57,773 | 3.6× | $15,593 |
| Hip replacement after a fracture (DRG 522) | $13,133 | $52,579 | 4.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,502 | 2.0× | $19,051–$24,455 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $24,455 | 2.0× | 1 |
| UnitedHealthcare | $23,502 | 2.0× | 1 |
| Elevance/Anthem/Empire | $19,051 | 1.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 394 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Boone Hospital Center for an inpatient hip or knee replacement stay was $11,930 (MS-DRG 470, 64 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,100 per outpatient case (APC 5115, 333 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,372, 4.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center of Columbia, an orthopedic surgery center same ZIP away, is paid about $8,314 by Medicare for a knee replacement (CPT 27447), $3,616 less than an inpatient stay at Boone Hospital Center. Not every patient is a surgery-center candidate.
Boone Hospital Center's average total payment per Medicare stay is lower than 97% of the 32 Missouri hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,502 across 3 insurers, ranging from $19,051 to $24,455.